Laserfiche WebLink
<br />OWNER'S NAKE S ~\JE C,-JTy' <br />OWNER'S ADDRESS 424- / SkY IJI Vt:E <br />JOB ADDRESS lfZ.LfI S J<.Y~}vG Lf:J+JG. <br /> <br />" 11- <br />) )}y <br /> <br />PHONE 8/3 -783 - r3 CfCf <br />L,rJtJr= Z-JhLl,S /(}?~#~ <br />~JjY,eJHUS ~ H" 335/fo <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESGRIP'l'ION: LOT(S) <br /> <br />BLOCK SUBDIVISION <br />() 5-6-0 0 <br />tJo- 6e.t::Jo <br /> <br /> <br />PARCEL I. D.' <br /> <br />_Addition -Alteration _Repair _Install <br /> <br />_Sign <br /> <br />----1Iove <br /> <br />_DeJIOlish <br /> <br />~rosmmE: ~eF_i~ <br />ec-ercial <br /> <br />----1I/F _' of Units ----1I/H <br /> <br />_Indust. _Swia. Pool _Other <br />, <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: COA15-netJG171JN OF S~ 13U)~ j,JG. I' #f;r1\/64-t€, JI <br /> <br />BUILDING SIZE: if 0 X 70. {,300 Square Feet. 32..' Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />GOttMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$/OO} 000 <br />200 <br />$ NONE <br /> <br />.00 <br />Valuation ~otal Construction <br /> <br />AMP Service VFlorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />_KECHARlCAL <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS <br /> <br />TYPE OF CONSTRUcnON: _Block <br /> <br />ROOFING <br />_Fr_e ~l <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FllUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DER A 1 <br />Signature /f/~ ~, /J~ <br /> <br />COKPAHY N ~ J;./C. <br />State Cert. or Regist. . CGCO I I <br />City License Registration . <br />****************************************** <br /> <br /> <br />RI.RCTRICIAN COMPANY F cO~7 <br />- I .//.)~ ) ~-/ State Cect. or Regist. . E t? Cc7cJ "Yh ~C/ <br />SianAture '4// I'./di: ~ V IT ~ City License Registration' / /? /. <br />************************************~***~..e. N)J " ~ OJ, i lie. · ft- ;'{'4~ <br /> <br />PLUMBER <br /> <br /> <br />State Cert. or Regist. <br />City License Registrat <br />. ~ ***~************ ************************* <br />~~ v ~ -...0~...sL< ~ <br /> <br /> <br />920 <br /> <br />Signat <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />NOJ/b <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />O'rImR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />